cerebral palsy - gea
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Cerebral PalsyGea Pandhita S
SMF Saraf – RS Islam Jakarta PondokKopi
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Cerebral Palsy = BrainParalysis
• Denition
• Prevalence
• Etiology• lassications
• linical Presentation
• !reatments• S"#stantially Disa#ling
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Cognitive Dysfunction
Seizures
COMPLICATIONS OF
NEURODEVELOPMENTAL DISORDERS
Motor
Dysfunction
Behavior
Dysfunction
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Cerebral Palsy:Defnition
• ere#ral palsy is a static encep$alopat$y
• Encep$alopat$y % &rain In'"ry t$at is non(progressive disorder of post"re and
movement• )aria#le etiologies
• *ften associated +it$ epilepsy, speec$pro#lems, vision compromise, - cognitive
dysf"nction
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Dr. Janice BrunstromPediatric neurologist specializing in Cerebral Palsy
St. Louis Children's ospital and !ashington "niversity
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Ae! Nico"e Curran
represented #o$a at the Miss "S% &( pageant in Las )egas
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Cerebral Palsy:Prevalence
• .(/012223 4(12,222 ne+ #a#ies eac$yr
• 152 years ago descri#ed #y Dr6 7ittle
an ort$opedic s"rgeon and kno+n as7ittle*s Disease
• D"ring past 8 decades considera#le
advances made in o#stetric - neonatalcare, #"t "nfort"nately t$ere $as #eenvirt"ally no c$ange in incident of P
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Cerebral Palsy:Classifcation
• )ario"s classications of ere#ralPalsy
• P$ysiologic
• !opograp$ic
• Etiologic
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Cerebral Palsy:Physiologic
• 9t$etoid• 9ta:ic
• Rigid(Spastic
• 9tonic• Mi:ed
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Cerebral Palsy:Topographic
• Monoplegic
• Paraplegic
• ;emiplegic• !riplegic
•
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Cerebral Palsy:Topographic
• Diplegic
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Cerebral Palsy:Topographic
• ;emiplegic
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Cerebral Palsy:Topographic
•
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Cerebral Palsy: Etiologic
• Prenatal =42>?Infection, ano:ia, to:ic, vasc"lar, R$disease, genetic, congenital
malformation of #rain• @atal =5(12>?
9no:ia, tra"matic delivery, meta#olic
• Post natal !ra"ma, infection, to:ic
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ere#ral PalsyAlinical Presentation
• Remem#er t$at motordevelopmental progression is fromB6
;ead to !oe
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Early markers o CP
• S7*C $ead gro+t$
• Poor $ead control
• Eye – roving eyes, poor$and regard, persistent
s"int6• Ear – lack of a"ditory
response
• Irrita#ility, sei"res, poor
s"ck, poor "ality ofsleep6
• E:treme sensitivity tolig$t
• ortical t$"m# #eyond +eeks
• ;andedness #efore . yrs
• Pa"city of lim# movements
• Scissoring of lo+er lim#s• !oe +alking
• 9#normal tone
• Persistence o primitivere!e"es or ail#re toac$#ire post#ral re!e"es
• Stereotypic a#normalmovements
• 7ack of alertness
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Pemeriksaan
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Pemeriksaan
• !$omas test
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Pemeriksaan
• ElyGs test
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Pemeriksaan
• Sta$eli test
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Pemeriksaan
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Pemeriksaan
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Pemeriksaan
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Pemeriksaan
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Pemeriksaan
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ere#ral PalsyAomplications
• Spasticity
• Ceakness
• Increase reHe:es
• lon"s
• Sei"res
• 9rtic"lation -
S+allo+ingdic"lty
• )is"al compromise
• Deformation
• ;ip dislocation
• Kyp$oscoliosis
• onstipation
• rinary tract
infection
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# l l
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ere#ral PalsyAManagement
• @e"rologic and P$ysiatric
• *! and P!
• Speec$• 9daptive e"ipment
• S"rgical
• R$iotomy, &aclofen p"mps, &oto:in
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ere#ral Palsy
• C$at iss"#stantially
disa#lingere#ral Palsy
• Mo#ility
• omm"nication
• 7earning
• Self are
• Self Direction
• Independent 7iving
• EconomicS"ciency
T i % ih
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Terima %asih